Breast Augmentation #94

An Asian mother of 2 in her later 40’s who described herself as a 32 A cup and wanted to have a fuller but still natural look.  She has some asymmetry with her right breast being higher and slightly more lateral on her chest wall  She does not want an “implant” look.  She is shown before and again, 4 ½ months after bilateral partial sub-pectoral placement of round smooth highly cohesive silicone gel Sientra 255 High profile implants through an inframammary incision.

Discussion: The Sientra 255 HP implant is 10.8 cm at the base.  The measured base width of her breasts was each 10.6 cm and the IMF to nipple distance on the stretch was 7.5 cm.  A larger implant would have been significantly wider than her breast and would have been more likely to give her an overly round “implant” look, which she wanted to avoid.  She is thrilled with her fuller but still natural appearance.